Sneddon Syndrome: A Case Report From Saudi Arabia.

Sneddon syndrome, also known as livedo reticularis with cerebrovascular accidents, is a rare but chronic condition that affects blood vessels in the skin and brain. This syndrome is characterized by a net-like appearance on the skin, known as livedo reticularis, which occurs due to the constriction of blood vessels. In addition to skin manifestations, Sneddon syndrome is often associated with repeated neurological events, such as strokes or transient ischemic attacks. These neurological symptoms can vary in severity and can lead to various complications. Upon admission to the stroke unit, a 28-year-old female was found to have bilateral livedo reticularis affecting the soles and the dorsal sides of the hands. Patient evaluation is done through medical history, physical examination, routine laboratory tests, and other diagnostic procedures.

Generalized morphea induced by the COVID-19 vaccine in a patient with chronic urticaria.

Adverse events following vaccinations have been noted for centuries, but as of recently, discussions concerning these adverse effects have increased due to the COVID-19 pandemic and the consequent delivery of vaccinations. Through presenting new cases of such adverse events and reviewing the literature, we aim to facilitate the recognition of COVID-19 vaccine-induced autoimmune diseases that may occur in the years after the pandemic has been contained. We report on a case of biopsy-proven morphea after the COVID-19 vaccine, in which case the patient developed diffuse skin lesions all over her body. The patient was known to have chronic urticaria and received two doses of the Pfizer-BioNTech COVID-19 vaccines (BioNTech, Fosun Pharma, Pfizer, New York City, USA). The patient started to notice itchy lesions on her arms two months after taking her second dose of the vaccine. This is the first case reported of generalized morphea following COVID-19 vaccination with another autoimmune disease and represents the first case of generalized morphea reported in the Middle East.

Prevalence and the Associated Factors of Erectile Dysfunction Among Saudi Married Males.

OBJECTIVES: To estimate the prevalence of erectile dysfunction (ED) and to determine the associated factors of erectile dysfunction among Saudi married male subjects. METHODS:  A cross-sectional study based on data collected from 313 male subjects. The questionnaire was given to the randomly selected subjects from the appointment list in KKUH outpatient clinics using a simple random sampling method. The study questionnaire included the following sections: demographic, lifestyle, and medical history. The international index of erectile function-15 (IIEF-15) scale was used to assess ED. Statistical analyses were done using Statistical Package for Social Sciences (SPSS, IBM Corp., Armonk, NY, USA). RESULTS:  Out of 313 participants 33 had ED (10.53%). The associated factors were age (odds ratio= 14.4), lower education level (odds ratio= 15.85), mild physical activity (odds ratio= 7.69), and medical conditions like diabetes mellitus, hypertension, and hypercholesteremia (odds ratio= 3.6). CONCLUSION:  The diagnosis of ED in Saudi Arabia is underestimated and services for the diagnosis and treatment should be provided for diabetes, hypertension, hypercholesteremia and elderly patients.